[Clinical Rounds] A multidisciplinary management approach to cervical cancer during pregnancy

00:00 - 18 Feb 2026

A 39-year-old woman, gravida 3, para 1, presented to the emergency department with vaginal bleeding at 10 weeks and 4 days gestation after spontaneous conception. Her obstetric history was notable for one miscarriage and one spontaneous preterm delivery at 35 weeks 5 days gestation. She reported a history of high-grade squamous intraepithelial lesion (HSIL) of the cervix, diagnosed 1 year before without further diagnostic evaluation or follow-up. At initial prenatal consultation, cervical cancer testing showed HSIL and a viable intrauterine pregnancy was confirmed with normal adnexa.